AJR Podcasts

Episodes

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  How to Navigate Data and Research Ethics 21.10.2026 34m

  Clinical data drive meaningful research, but access comes with responsibility. Andrea Doria, MD PhD, speaks with host Amit Gupta, MD, about navigating research ethics, informed consent, deidentification, dataset bias, responsible data sharing, and patient trust. Listen to their discussion in episode 4 of The Early-Career Researcher's Playbook, an AJR Podcast Series. *Key Takeaways Ethics as Good Science: Ethical guidelines are not administrative obstacles. They are an integral part of responsible data stewardship and maintaining the trust patients place in the healthcare system. The Consent Misconception: Retrospective studies do not automatically bypass patient consent. Only the ethics board can grant a waiver of consent, for example for scenarios with large unreachable patient populations. Anonymization vs. De-identification: Removing a name is merely anonymization. True de-identification requires scrubbing private DICOM metadata, redacting burned-in pixels on ultrasounds, and accounting for 3D reconstructions that might reveal unique physical patient characteristics. External Data Sharing: Before uploading clinical data to external cloud platforms or AI tools, institutions should establish strict Data Transfer Agreements detailing storage protocols, access rights, and data deletion timelines. Scope Creep and Amendments: Reusing an existing dataset to answer a new research question unapproved by the IRB is an ethical violation. Researchers must submit an amendment or a new application to the ethics board before shifting the scope of their study. *Chapters 0:00 - Welcome 02:21 - When Ethics Approval Starts 04:40 - Consent and Waivers 09:26 - Deidentifying Imaging Data 12:48 - Sharing Data Externally 15:31 - Bias and Representation 18:41 - Stewardship Beyond Rules 21:30 - Reusing Data and Amendments 26:34 - Quick Fire Playbook 33:23 - Final Takeaways Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.
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  When FFRCT Gets Rejected: How Scanner Technology and Image Quality Matter 19.10.2026 7m

  Unsuccessful FFRCT analysis can be influenced by the underlying CT technology used. Radhika Rajeev, MD, discusses the article by Balasubramanian et al. exploring causes of such rejected analyses for two CT scanners. Full article: FFRCT Analysis Rejections: Comparison of Frequency and Associated Factors Between Two CT Scanners
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  Wrong Turns: What to Do When You Realize You Chose the Wrong Path 07.10.2026 1h

  Every radiologist can name the career decisions that worked out. Almost nobody talks about the ones that did not. Peter S. Moskowitz, MD, a pediatric radiologist turned physician career coach, speaks with hosts Surbhi Raichandani, MD, and Sherry Wang, MBBS, about burnout, sunk costs, and what comes after a wrong turn. Listen to their discussion in episode 4 of Difficult Conversations, an AJR Podcast Series. https://www.ajronline.org/doi/10.2214/AJR.26.36011 *Key Takeaways The Second Career: A physician's primary job is clinical excellence, but a secondary job is active career self-management, which requires finding trusted mentors and being vulnerable enough to ask for help. The 4 D's of Transition: Recognizing the need for a career pivot may begin with identifying William Bridges' four D's of transition endings: disengagement, disidentification, disenchantment, and disorientation. Proactive "Protirement": True retirement planning or "protirement" should begin the first day of your first paying job, involving professional financial planners and your significant other to align your long-term vision. *Chapters 0:00 - Welcome 3:51 - Tenure Setback and Toxic Practice 5:23 - Burnout to Coaching 6:58 - Return to Academia 8:44 -  Lessons From Career Transitions 12:29 -  Career Resilience 14:14 -  The Moment Burnout Hit 16:40 - Golden Handcuffs and Wrong Paths 19:42 - Why Burnout Happens 22:06 -  Greed and Leadership Voice 26:37 - Advice for Early Attendings 31:32 - How CPPR Coaching Works 34:17 - Protirement Plan Early 39:52 - Radiologist-Centered Imaging 43:08 - Wellness Progress and What Next 49:29 - AI Efficiency Burnout Myth 55:52 - One Sentence Advice and Takeaways 59:00 -  Closing Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.
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  Making AI-Generated Radiology Reports Safer for Patients: A Comprehensive Quality Assessment Tool 05.10.2026 8m

  How can radiology practices evaluate AI-generated patient friendly reports in a standardized manner? Antonino Andrea Blandino, MD, discusses the article by Armstrong et al. describing a quality assessment rubric for grading such reports. Full article: A Quality Assessment Rubric for Artificial Intelligence–Generated Patient-Friendly Radiology Reports
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  Same Scan, Different Footprint: Does the Power Grid Matter More Than How Much We Image? 05.10.2026 7m

  Imaging utilization may not be the main driver of imaging's carbon footprint. Joel Samuel, MD, discusses the article by Paul et al. on the role of grid carbon intensity in shaping variations in imaging-related greenhouse gas emissions. Full article: Same Scan, Different Footprint: Does the Power Grid Matter More Than How Much We Image?
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  Can Artificial Intelligence Help Us See the Person Behind the Pattern? Intimate Partner Violence Through the Lens of Radiology 30.09.2026 43m

  What do you do when images tell a different story? Bharti Khurana, MD, MBA, speaks with cohosts Lindsey Negrete, MD, and Amy Maduram, MD, about her journey from the reading room to the forefront of artificial intelligence innovation, transforming the way we identify and support survivors of intimate partner violence. Listen to their discussion in episode 4 of Extreme Radiology, an AJR Podcast Series.  https://www.ajronline.org/doi/10.2214/AJR.26.35966 *Key Takeaways The Longitudinal Biomarker: There is no single characteristic injury that defines intimate partner violence (IPV). Instead, the true warning sign is a longitudinal pattern of trauma over time, including target injuries to the head and face, defensive injuries to the upper extremities, and neck injuries from strangulation.   Protecting the Patient Portal: Radiologists should not write "suspicious for IPV" in a formal imaging report because the partner may be monitoring the patient's electronic records. Radiologists should objectively describe the injuries in the text and directly call the referring clinician to raise abuse suspicions.   The "Pickle Jar" of Disclosure: If a case is flagged and the patient denies the abuse, the radiologist should not feel that they have failed. Reporting IPV is like opening a tight pickle jar; each safe conversation loosens the lid until the patient is finally ready and empowered to disclose their situation.  Humanizing Medicine with AI: The AIRS tool uses computational analysis to flag high probability IPV risk, which allows clinicians to better dedicate appointment times toward empathetic, trauma-informed conversations. Bias as a Strength: Critics initially warned that radiologists could not diagnose IPV because they may not see the patient's socioeconomic background in the reading room. However, this is also a source of strength, allowing radiologists to report objective findings without certain potential implicit biases. *Chapters 0:00 - Welcome and Content Warning 2:46 - Why Study IPV in Radiology 6:17 - Imaging Clues and Patterns 8:03 - Longitudinal Data and Integration 9:19 - Gender Differences and Misconceptions 14:33 - Reporting Safely in the EMR Era 19:00 - The Longitudinal Biomarker Eureka Moment 22:56 - AI That Prompts Human Care 25:21 - AIRS Workflow and Future Tools 30:25 - Collaboration and Leaving the Silo 34:47 - Handling Criticism and Staying Motivated 38:12 - What Trainees Should Know 41:52 - Closing Takeaways Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.
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  It's Not You, It's the Workflow 28.09.2026 6m

  What are drivers of stress and satisfaction in the radiology workplace? Pranjal Rai, MD, discusses this article by Ayyala et al. that explores this issue among radiologists, technologists, nurses, and other staff. Full article: Sources of Work-Related Stress and Satisfaction in Radiology: A Survey of Faculty, Technologists, Nurses, and Other Staff
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  Low-keV Virtual Monoenergetic Imaging in Bladder Cancer: Does Photon-Counting CT Make a Difference? 28.09.2026 8m

  The combination of photon-counting CT and low-keV VMI has the potential to aid bladder cancer local stage Anna Lo Verde, MD, discusses the prospective study by Wang et al. exploring this combination for detecting muscle invasion. Full article: Photon-Counting CT With Low-keV Virtual Monoenergetic Images for Detecting Muscle Invasion in Bladder Cancer: A Prospective Study
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  Negotiating the Career You Want 23.09.2026 58m

  Negotiation is an important skill that physicians are rarely taught. Anees Chagpar, MD, MA, MBA, MPH, and Naman Desai, MD, speak with cohosts Winnie Hahn, MD, and Elizabeth Hecht, MD, about how preparation, practice, and a shift in mindset can help physicians negotiate with confidence and build careers that align with their values and priorities. Listen to their discussion in episode 3 of Mentorship Unfiltered, an AJR Podcast Series. https://www.ajronline.org/doi/10.2214/AJR.26.35921 *Key Takeaways The Collaborative Mindset: Negotiation is not a zero-sum, adversarial battle. Approaching the conversation as joint problem-solvers allows both the employer and employee to find creative ways to "grow the pie" and achieve mutual benefits. Expanding the Target: Candidates often make the mistake of focusing exclusively on base salary. Successful negotiators research historical precedents (like AAMC data) and ask for flexible perks, such as housing stipends, free childcare, CME funding, and specific call schedules. The Malpractice Trap: Understanding the difference between claims-based and occurrence-based malpractice insurance is critical. If a practice uses claims-based insurance, exiting the job requires tail coverage that can cost between $10,000 and $30,000; this should be negotiated upfront. Continuous Self-Advocacy: Negotiation does not end once the initial contract is signed. Mid-career physicians should continually reassess their value and leverage employer investments. *Chapters 0:00 - Why Negotiation Matters 4:00 - Negotiation Misconceptions 5:34 - Prepping Before First Offer 8:06 - Expand Beyond Salary 14:30 - Negotiation Phrases That Work Well? 16:16 - Avoiding Ultimatums 20:01 - Finding Market Pay Information 21:59 - Priorities and Job Stability 24:42 - W2 vs 1099 26:07 - Malpractice and Tail Coverage 28:55 - Money Priorities Checklist 31:27 - RVU Volume Reality Check 36:48 - Red Flags Researching Groups 38:25 - Switching Jobs and Credentialing 39:58 - Mid-Career Negotiation Never Ends 45:00 - Women and Negotiation Bias 52:32 - Institution Responsibilities 56:52 - Key Takeaways and Wrap Up Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.
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  How to Avoid Pitfalls in Study Design 16.09.2026 54m

  A strong research question can still fail if the study design cannot answer it. Michael Soulen, MD, and Shudaveep Ganguly, MD, DM, speak with host Amit Gupta, MD, about selecting meaningful outcomes, matching design to the question, avoiding pitfalls of diagnostic accuracy studies, involving statisticians early, and building multidisciplinary trials. Listen to their discussion in episode 3 of The Early Career Researcher's Playbook, an AJR Podcast Series. *Key Takeaways Meaningful Outcomes vs. Surrogates: Technical success and progression-free survival are only surrogate endpoints. Patients and clinicians ultimately care about overall survival and quality of life. Imaging surrogates are notoriously poor predictors of true clinical benefit. Flaws in Diagnostic Accuracy: Relying purely on sensitivity and specificity is problematic if the study population doesn't reflect real-world conditions. Likelihood ratios may provide a realistic indication of a test's clinical impact. Early Statistical Integration: Never treat a statistician as a data calculator at the end of a study. Engaging them during the brainstorming phase ensures feasibility and helps to properly structures your protocol and database. *Chapters  0:00 - Welcome 2:23 - Choosing Meaningful Outcomes 9:28 - RCTs and Real World Limits 18:36 - Diagnostic Study Pitfalls 25:58 - From Accuracy to Impact 28:55 - Statistics Starts Early 37:45 - Making Collaboration Work 47:01 - Quick Fire Playbook 51:04 - Final Advice Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.
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  Beyond the Mammogram: Can AI Predict Breast Cancer Risk? 14.09.2026 8m

  How can AI help predict breast cancer risk? Heta Ladumor, MD, discusses the AJR article by Xu et al. that developed a novel deep-learning tool for predicting risk from DBT examinations. Full article: Predicting 5-Year Breast Cancer Risk From Longitudinal Digital Breast Tomosynthesis: A Single-Center Retrospective Study Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social
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  Rising Neuroimaging Utilization in the ED 14.09.2026 5m

  Neuroimaging utilization in the emergency department (ED) is growing. Christopher Ruggiero, MD, discusses this article by Rai et al. that explores this growth in over 3 million ED encounters nationally. Full article: Utilization of Emergency Department (ED) Neuroimaging From 2016 to 2025: Analysis in Over 3 Million ED Encounters from the Multicenter Cosmos EHR Dataset Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social
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  Vision Language Models for Ultrasound Assessment of Suspicious Axillary Lymph Nodes in Breast Cancer 14.09.2026 16m

  Vision language models (VLMs) are receiving growing attention in radiology. Kathy Dai, MD, is joined by Dorothy Sippo, MD, MPH, to discuss the article by He et al. exploring the use of VLMs for axillary lymph node assessment in patients with breast cancer. Full article: Vision Language Models for Ultrasound Assessment of Suspicious Axillary Lymph Nodes in Breast Cancer Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social
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  Is Your Daily Workflow Inviting a Cyberattack? 09.09.2026 33m

  What happens when the system goes down in a cyberattack? Ichiro Ikuta, MD, MMSc, speaks with cohosts Lindsey Negrete, MD, and Amy Maduram, MD about real-world vulnerabilities and consequences of cyberattacks in radiology. Listen to their discussion in episode 3 of Extreme Radiology, an AJR Podcast Series.  https://www.ajronline.org/doi/10.2214/AJR.26.35847 *Key Takeaways The Power Dynamics of Phishing: Hackers may impersonate department chairs or hospital CEOs using spoofed emails to pressure staff into handing over login credentials. Always verify suspicious requests via a direct phone call or in-person conversation. The Threat of Outside CDs: Discs containing outside imaging studies are major vectors for malware. To help prevent spreading a digital infection, outside CDs should be uploaded in isolated, dedicated environments rather than directly on standard clinical workstations. AI and Blockchain in Cybersecurity: While blockchain technology offers decentralized tracking to protect financial and patient data, artificial intelligence is a double-edged sword, equipping both cybersecurity defenders and malicious hackers with significantly more powerful tools. *Chapters 0:00 - Opening 2:07 - Why Cybersecurity Matters 4:15 - How Hospitals Get Hacked 8:31 - Spotting Phishing Tricks 11:24 - When Systems Go Down 14:40 - Legal Duties and Training 16:25 - Recovery and Backlog Reality 20:01 - AI and Blockchain Threats 22:39 - Can You Hack It? Game 27:32 - Radiology Targets and Defenses 30:05 - Wrapping Things Up Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.
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  Crossing Borders, Closing Gaps: The International Medical Graduate Path in Radiology 02.09.2026 39m

  The radiologist shortage is real, and international medical graduates (IMGs) are already helping solve it. Sohrab Afshari Mirak, MD, speaks with cohosts Surbhi Raichandani, MD, and Sherry Wang, MBBS, about his path from Tehran to UCLA, the American Board of Radiology Alternate Pathway, visa hurdles, and what IMGs bring to patient care. Listen to their discussion in episode 3 of Difficult Conversations, an AJR Podcast Series. *Key Takeaways Beyond the Step Score: Residency programs should not filter IMG applicants based on USMLE scores or graduation gaps; letters of recommendation and other application components offer additional important information.   The ABR Alternate Pathway: Recent changes by the American Board of Radiology now allow internationally trained radiologists to complete their four required fellowship years non-consecutively within an eight-year window, significantly reducing a source of uncertainty.    Clinical Diversity: IMGs bring unique proficiencies and skill sets developed in healthcare systems with workflows that differ from in the United States. *Chapters 0:00 - Welcome and Intro 0:54 - Impact of Radiologist Shortage 3:43 - Dr. Mirak's IMG Journey 6:07 - Residency Screening Pitfalls 10:02 - Letters and Observerships 12:14 - Research and Networking Tips 15:21 - ABR Alternate Pathway 18:52 - Visa Choices and Waivers 25:44 - Cultural Support for IMGs 28:38 - Global Models and IMG Value 35:56 - One Policy Change  38:05 - Closing Thoughts Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social
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  How to Turn Clinical Intuition Into Impactful Science 02.09.2026 36m

  Good research questions may be hiding in everyday clinical work. Marco Francone, MD, PhD, and Daniel Pinto dos Santos, MD, speak with host Amit Gupta, MD, about transforming clinical intuition, recurring gaps, and diagnostic challenges into focused, testable, and clinically impactful research. Listen to their discussion in episode 2 of The Early-Career Researcher's Playbook, an AJR Podcast Series. https://www.ajronline.org/doi/10.2214/AJR.26.35769 *Key Takeaways Questioning the Routine: Meaningful research often begins by simply asking "why" established practices exist. For example, questioning the necessity of a non-contrast series prior to contrast media administration when looking for abdominal hemorrhage may lead to a publishable study.   The Prospective Shift: Retrospective research may be limited by biased intuitions and imperfect hypotheses. The specialty should move toward prospective models, carefully considering the clinical impact and cost-effectiveness of potential interventions.   The "Tool-First" Trap: Pushed by a publish-or-perish academic culture, researchers may make the mistake of starting with an AI model or radiomics pipeline and then searching for a problem to which to apply it. True clinical impact more likely comes with starting with the patient problem and finding the appropriate method to solve it.   Combating Confirmation Bias: When researchers firmly believe their own clinical intuition, they risk designing studies solely to confirm their preconceived notions. To maintain scientific credibility, you should assign a colleague the specific role of opposing your views to actively try and prove your hypothesis wrong.  *Chapters 0:00 - Introduction 2:07 - What Clinical Intuition Means 6:47 - Daniel's Routine to Research 9:23 - Ideas Hiding in Workflow 11:32 - From Observation to Study Plan 14:28 - Marco's Prospective CT Example 18:26 - Avoiding Confirmation Bias 23:20 - AI Tool First Trap 29:53 - Quick Fire Takeaways 33:34 - Final Advice and Closing Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.
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  Validating AI-Reconstructed Knee MRI Against Arthroscopy 24.08.2026 6m

  How fast can a knee MRI examination be performed? Zahra F. Rahmatullah, MBBS, discussed the article by Leonhardt et al. exploring a deep-learning pipeline for achieving 7-minute knee MRI. Full article: Arthroscopy-Validated Diagnostic Performance of a Deep Learning Reconstruction Pipeline for Rapid 7-Minute Five-Sequence 3-T Knee MRI Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social
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  Escaping the Noise in Coronary CTA 24.08.2026 8m

  In-stent restenosis presents a challenge on coronary CTA. Bryce Saba, MD, discusses the multicenter study by Xu et al. exploring a super-resolution deep-learning reconstruction method for stent evaluation. Full article: Comparison of Super-Resolution Deep-Learning Reconstruction and Hybrid Iterative Reconstruction for Coronary Stent Assessment on CTA: A Prospective Multicenter Study  Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social
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  Is There a Radiologist in the Stadium? The High-Stakes World of Pro-Sports Imaging 19.08.2026 43m

  Could you handle the high-stakes pressure of working with professional athletes? Chris Beaulieu, MD, PhD, speaks with co-hosts Lindsey Negrete, MD and Amy Maduram, MD about the medical, legal, and communication challenges involved when dealing with a professional sports franchise. Listen to their discussion in episode 2 of Extreme Radiology, an AJR Podcast Series.  https://www.ajronline.org/doi/10.2214/AJR.26.35724 *Key Takeaways The Monday Morning Rush: While game-day X-rays are typically read by team orthopedists at the stadium, the radiologist's critical role begins on Monday morning with reserved MRI slots to accurately stage and grade joint injuries.  Call it Tight, But Call it Right: Radiologists should avoid overcalling minor, non-acute incidental findings, such as mild degenerative changes, that could needlessly trigger panic.   Controlling the Narrative: Direct communication with players, coaches, or sports agents is highly discouraged due to the risk of misinterpretation. Radiologists maintain a strict reporting chain directly to the head athletic trainer and team orthopedic surgeon.   Astronomical Liability: The malpractice risk in pro sports imaging operates on a vastly different scale, with potential liability reaching hundreds of millions of dollars to cover an athlete's lost career wages.   Second Opinions: Because most sports injuries are non-surgical and imaging serves as the gold standard, agents frequently demand multiple opinions.  *Chapters 0:00 - Welcome 4:15 - Game Day Imaging Setup 5:34 - Monday Morning MRI Rush 7:48 - Stadium PACS And Teamwork 9:47 - Communication With Players 11:30 - Pressure And Liability 13:50 - Reporting Nuance And Contracts 19:53 - Ultrasound-Guided Interventions 22:18 - Call It Tight. Call It Right. 27:51 - Monday Morning Quarterback Game 40:06 - Closing Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.
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  Radiology Economics Forecast: Is It Doom and Gloom? 12.08.2026 59m

  Curious about the future of radiology economics? Richard E. Heller III, MD, MBA speaks with co-hosts Sherry S. Wang, MBBS, and Surbhi Raichandani, MD, to discuss radiology economics, from the basics to the niche and what is up ahead. Listen to their discussion in episode 2 of Difficult Conversations, an AJR Podcast Series. Full article: https://www.ajronline.org/doi/10.2214/AJR.26.35690 *Key Takeaways The Efficiency Fallacy: CMS recently implemented a 2.5% efficiency reduction to work relative value units, assuming that technology makes reading scans faster. However, modern multiplanar CTs contain thousands of images which can slow down down interpretation times. The No Surprises Act and Ghost Rates: While designed to protect patients from unexpected out-of-network bills, poor implementation allows insurers to use "ghost rates," which are contracted rates for never-billed services, to artificially lower the Qualifying Payment Amount and force rate reductions on practices. Advocacy is Essential: Radiologists serve as the nexus of the hospital. If the specialty does not demonstrate its downstream value, such as avoiding unnecessary surgeries and shortening hospital stays, business-minded policymakers will continue to treat it as a high-cost expense center to be cut. *Chapters  0:00 - Welcome 1:12 - Future Outlook For Radiology 2:27 -  How Radiologists Generate Revenue 3:09 - RVUs Conversion Factor Basics 4:30 - MIPS And Payment Adjustments 5:59 - Revenue Versus Paycheck 7:22 - Medicare Fee Schedule Trends 8:53 - Efficiency Adjustment Debate 12:50 - How CMS Sets The Rules 14:24 - Comment Letters And Advocacy 17:16 - Medicare As System Benchmark 19:09 - Commercial Insurer Headaches 21:21 - Steerage And Pediatric Risks 22:57 - No Surprises Act Explained 27:59 - Arbitration And Implementation Issues 29:10 - Radiology as Nexus 30:16 - Proving Downstream Value 31:34 - Total Value Equation 33:44 - RVUs and Complexity 36:53 - Fixing Incentives 46:04 - AI as Capacity Booster 49:01 - Will AI Cut Pay 50:12 - Teleradiology Done Right 54:30 - Radiology in 10 Years 57:53 - Optimism and Call to Action Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.